脑瘫儿童家长亲职压力特征及干预研究

发布时间：2018-05-07 06:37

本文选题：脑瘫 + 脑瘫儿童家长　；参考：《成都医学院》2017年硕士论文

【摘要】：研究目的1.研究脑瘫儿童家长亲职压力特征及其影响因素,为降低亲职压力的干预提供科学依据。2.通过团体心理干预的方法,降低脑瘫儿童家长亲职压力及抑郁情绪,调节血压、心率,提高其身心健康。研究方法1.问卷调查法:采用方便抽样方法,对184名脑瘫儿童家长进行问卷调查。2.心理实验法:采用团体心理干预方法对选取的脑瘫儿童家长进行团体心理干预,测量干预前后脑瘫儿童家长亲职压力、抑郁水平以及血压、心率。3.数据统计分析方法:本研究所有数据统计分析均用SPSS21.0完成,统计分析方法包括描述统计、方差分析、t检验、卡方分析。结果1.脑瘫儿童家长亲职压力平均值为(127.27±25.83),其三个维度得分由高到低分别是亲职愁苦(44.18±9.85)、困难儿童(42.30±9.69)、亲子关系互动失调(40.79±10.18)。2.脑瘫儿童家长亲职压力在家长身份、年龄、文化程度、家庭经济状况、家庭居住状况、家庭氛围(温暖和谐对抗批评)以及儿童残疾等级、遭受的社会歧视上的差异有统计学意义(p0.05);在性别、城乡、是否接受现实上差异无统计学意义(p0.05)。3.脑瘫儿童家长亲职压力与心理弹性、自尊、一般自我效能感、抑郁(PHQ-9)、社会支持评定、简易应对方式、认知情绪调节呈显著相关(p0.01);抑郁(PHQ-9)、自尊、简易应付方式(消极应对)、认知情绪调节(责难自己)、心理弹性(坚韧性)、社会支持(主观支持、对支持的利用)共同对亲职压力预测力为54%,其中抑郁的预测力为30%。4.对脑瘫儿童家长进行心理干预后,亲职压力中亲职愁苦、困难儿童维度显著降低(p0.01),抑郁、亲职压力总分及亲子关系互动失调维度没有改善(p0.05),实验组心率和血压有显著降低(p0.05)。结论1.脑瘫儿童家长面临较高的亲职压力。2.影响脑瘫儿童家长亲职压力的因素包括社会因素和心理因素,其中抑郁是脑瘫儿童家长亲职压力的重要预测因素。3.团体心理干预有助于改善脑瘫儿童家长身心状态。
[Abstract]:Research purpose 1. research on parental pressure characteristics and influencing factors of parents of children with cerebral palsy, to provide scientific basis for reducing the intervention of parental pressure,.2. through group psychological intervention to reduce parental pressure and depression of parents of children with cerebral palsy, regulate blood pressure, heart rate, and improve their health. The 1. questionnaire survey method: the method of convenient pumping Samples of 184 children with cerebral palsy were investigated by a questionnaire survey.2. psychological experiment: group psychological intervention was used to conduct group psychological intervention on the parents of children with cerebral palsy. The parental pressure, depression level, blood pressure and heart rate.3. were measured before and after intervention. All the data were statistically analyzed in this study. All the statistical analysis methods included descriptive statistics, analysis of variance, t test, and chi square analysis. Results the average value of parental pressure on parents of 1. children with 1. cerebral palsy was (127.27 + 25.83), and the three dimensions were from high to low (44.18 + 9.85), difficult children (42.30 + 9.69), and the relationship of parent-child relations (40.79 + 10.18).2. brain Parents' parental pressure on parents, age, educational level, family economic status, family living conditions, family atmosphere (warm and harmonious confrontation criticism) and children's disability grade were statistically significant (P0.05), and there was no statistical significance (P0.05).3. brain difference in gender, urban and rural areas. Parents' parental pressure and mental resilience, self-esteem, general self-efficacy, PHQ-9, social support assessment, simple coping style, cognitive mood regulation are significantly related (P0.01); depression (PHQ-9), self-esteem, simple coping style (negative coping), cognitive emotion regulation (toughen), resilience (tenacity), social support (subjective support) The predictive power of common peer pressure was 54%, in which the predictive power of depression was 30%.4.'s psychological intervention for the parents of cerebral palsy children, the relative distress in the parental pressure, the significant reduction in the dimension of the difficult children (P0.01), the depression, the total score of parental pressure and the relationship of parent-child relationship did not improve (P0.05), the heart rate of the experimental group and the heart rate of the experimental group were not improved. There is a significant decrease in blood pressure (P0.05). Conclusion the parents of 1. cerebral palsy children are faced with higher parental pressure.2. influencing the parental pressure of the parents of cerebral palsy children including social factors and psychological factors. Depression is an important predictor of parental pressure in the parents of cerebral palsy children..3. group psychological intervention helps to improve the physical and mental state of the parents of cerebral palsy children.

【学位授予单位】：成都医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R742.3

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